CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Fisher-Titus Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,280
Cash Discount Price: $1,535
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Fisher-Titus Hospital is $1,280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,535. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.21x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$1,535

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,280

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)

Cash / Self-Pay: $1,535 (25%)

Insurance Median: $1,280 (21%)

Cash: $1,535 (25% of Medicare)

Ins. Median: $1,280 (21% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6,176.47 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Perennial Advantage	$101 - $5,746	2%
UnitedHealthcare	$101 - $5,582	2%
Sidecar	$103 - $11,460	2%
Aetna	$512 - $5,473	8%
Humana	$516 - $632	8%
Martin'S Point	$537 - $632	9%
Blue Cross Blue Shield	$632 - $5,473	10%
Buckeye	$632 - $5,473	10%
Caresource	$632 - $5,473	10%
Devoted	$632	10%
Medical Mutual Of Ohio	$632 - $5,473	10%
Medigold	$632	10%
Meridan	$632	10%
Paramount	$632 - $5,473	10%
Summacare	$632 - $5,473	10%
Zinghealth	$644	10%
Valor Health	$651 - $5,637	11%
Gateway	$663	11%
Perennial	$663	11%
Wellcare	$663 - $5,473	11%
Health Scope	$758	12%
Emerald Health	$790 - $1,655	13%
Frontpath	$821	13%
Ohio Health Choice	$821 - $1,535	13%
Cigna	$884 - $1,365	14%
Clarity Health	$884	14%
Multiplan	$884 - $1,535	14%
Coresource	$889	14%
First Health	$889 - $1,535	14%
Health Ohio Network	$947 - $1,194	15%
Tricare	$1,280 - $1,365	21%
Claimsdoc	$1,365	22%
Healthscope	$1,552	25%
Amerihealth	$1,918	31%
Molina	$1,918	31%
Zing Health	$5,473	89%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,535.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.